Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.86 / $3,013.00 / $7,307.00	Facility		$175.86	$3,013.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.63 / $237.16 / $558.54	Professional		$125.63	$237.16	$558.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.92 / $256.52 / $592.41	Professional		$201.92	$256.52	$592.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,716.00 / $6,213.00	Facility		$165.00	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $382.72	Professional		$165.00	$165.00	$382.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.86 / $202.86 / $4,612.43	Facility		$202.86	$202.86	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $334.06 / $847.59	Professional		$137.00	$334.06	$847.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $201.00 / $332.00	Facility		$132.00	$201.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $278.19 / $358.19 / $536.05	Professional		$278.19	$358.19	$536.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.44 / $292.27 / $496.13	Professional		$193.44	$292.27	$496.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $202.86 / $597.00 / $8,498.00	Facility		$202.86	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $165.95 / $368.03 / $877.90	Professional		$165.95	$368.03	$877.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,133.00	Facility		$1,768.00	$4,176.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.23 / $328.50 / $801.77	Professional		$223.23	$328.50	$801.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $129.34 / $438.28	Facility		$129.34	$129.34	$438.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $186.69 / $303.87 / $542.08	Professional		$186.69	$303.87	$542.08